Online Program

Local program evaluation leads to improved access to care, program sustainability, and increased collaboration with global implications

Wednesday, November 6, 2013 : 1:10 p.m. - 1:30 p.m.

Alison O. Jordan, LCSW, Correctional Health Services' Transitional Health Care Coordination, New York City Department of Health and Mental Hygiene, East Elmhurst, NY
Kevin Moore, PsyD, Center for Integrative Medicine, AIDS Care Group, Sharon Hill, PA
Lawrence J. Ouellet, PhD, Division of Epidemiology and Biostatistics, University of Illinois at Chicago, School of Public Health, Chicago, IL
Paul Teixeira, DrPH, MA, Correctional Healthcare Services, Transitional Health Care Coordination, New York City Department of Health and Mental Hygiene, East Elmhurst, NY
The HRSA Special Projects of National Significance grant for Enhancing Linkages to Care for People Leaving Jails with HIV included ten demonstration sites. The program enhancement grants of up to $400,000 each year were awarded to ten sites including three major urban areas, Chicago, New York City and Philadelphia. Using similar approaches, the local areas instituted public health approaches to identify the HIV-infected, initiate discharge planning in jails, and facilitate post-release linkages to primary care. Tracking and sharing outcome data and conducting program evaluations led to program improvements and helped build sustainable programs. In NYC, the Ryan White Planning Council prioritized case management programs for those leaving jails. A robust effort to disseminate findings led to over a dozen published papers and policy briefs and local evaluation findings were presented at APHA 2012, the International AIDS Conference 2012 and the National Commission on Correctional Healthcare Conference. This widespread dissemination led to interest from those in other jurisdictions locally and globally, who were seeking ways to improve access and engagement in care. As a result, other community programs are interested in replicating the model including those implementing patient-centered Medical Homes and substance use treatment programs. Demonstration projects with timely dissemination can enhance awareness and opportunities to identify potential collaborators and funders for program sustainability and replication.

Learning Areas:

Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Program planning
Provision of health care to the public
Public health administration or related administration

Learning Objectives:
Demonstrate how a local program evaluation led to an approach with global implications.

Keyword(s): Access to Care, Public Health Administration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the Principal Investigator of the SPNS Enhancing Linkages grant local evaluation in New York. I have authored articles for the Journal on AIDS and Behavior online at springerlink and presented findings at US conferences. I have spent over 20 years designing and developing City policy and programs including the Continuum of Care model, a national model to program engagement and linkages to care.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.